pain Flashcards
The IASP definition of pian is?
“an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage”
Pain effects how many people?
Affects 116 million in US
How many primary care visits have been driven by chronic pain?
20% of all primary care visits are due to chronic pain
How many people have had pain for >3 months?
26% of Americans
1/3 report the pain to be disabling
What is the amount spent on pain each year?
$635 billion a year
How can we classify pain in subjective sections of notes?
Based on pain physiology, intensity, temporal characteristics, type of tissue affected, and syndrome
How would you describe pain pathology?
nociceptive, neuropathic, inflammatory
How does inflammation change pain pathology?
How would you describe the intensity?
mild-moderate-severe; 0-10 numeric pain rating scale
use the pain scale
How would you describe time course of pain?
acute or chronic
What types of tissues can be involved in pain?
skin
muscles
viscera
joints
tendons
bones
What syndromes are commonly associated with pain?
cancer, fibromyalgia, migraine, others
What considerations may affect a patients pain level?
psychological state, age, gender, culture
What is the framework written by the WHO for describing pain?
ICD codes!
persistent or recurring pain lasting longer than 3 months
What are the 7 subcategories of pain mentioned by ICD?
primary pain
cancer pain
post-surgical/post-traumatic pain
neuropathic pain
headache/orofacial pain
visceral pain
musculoskeletal pain
What is meant by nociceptive pain?
response to an immediate noxious stimulus; tissue damage with resultant inflammatory pain
What is meant by neurogenetic pain?
result of lesions in some part of the nervous system
What is the difference between central neurogenic pain and peripheral neurogenic pain?
Central neurogenic pain: injury affecting CNS, burning, aching, prickling, hyperalgesia, allodynia
Peripheral neurogenic pain: injury affecting PNS, paresthesia, dysesthesia, pain
What is meant by musculoskeletal pain?
injury effecting MSK
What does pain look like with fibromyalgia?
widespread pain accompanied by tenderness of muscles and adjacent soft tissue
What does pain look like with myofascial pain syndrome?
persistent, deep aching pain in muscle; characterized by well defined highly sensitive tender spots ‘trigger points’
What does pain look like with postural stress syndrome?
postural malalignment produces chronic muscle lengthening and/or shortening & stress on tissues
What does pain look like with movement adaptation syndrome?
habituated movement dysfunction leading to muscle strain and pain
What is meant by psychosomatic pain?
origin is related to mental or emotional factors
